Organization
MISSION MEDICAL ASSOCIATES INC
Active
Other names
MMA Children's Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MARC B WESTLE D.O. (PRESIDENT/CEO)
(828) 250-2988
Entity
Organization
Contact information
Practice address
11 VANDERBILT PARK DR, ASHEVILLE, NC 28803-1700
(828) 213-1700
Mailing address
11 VANDERBILT PARK DR, ASHEVILLE, NC 28803-1700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012KF
BCBS
NC
Enumeration date
03/25/2010
Last updated
03/25/2010
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